MANOR FAMILY PRACTICE
NPI 1154761559
Clinic/Center - Primary Care in Manor, TX

Active since June 28, 2013
14001 SHADOW GLEN BLVD, SUITE G, MANOR, TX 78653(512) 535-4787 Get Directions Write a Review

NPPES record last updated: June 28, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Manor Family Practice NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MANOR FAMILY PRACTICE (NPI 1154761559) is a healthcare organization registered as a primary care in Manor, Texas and active in the NPI registry since June 2013. The organization lists Marilyn Ruiz, Member, as its authorized official.

NPPES Registry Identity

NPI1154761559
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameMANOR FAMILY PRACTICE, PLLC
Location Address14001 SHADOW GLEN BLVD, SUITE GManor, TX 78653-3386
Mailing Address14001 Shadow Glen Blvd, Suite GManor, TX 78653-3386 · (512) 535-4787
Organization SubpartNo
Authorized OfficialMarilyn RuizMember · (512) 535-4787
Enumeration DateJune 28, 2013
NPI 1154761559 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
License Licensed in TX · N0419
14001 SHADOW GLEN BLVD, Manor, TX 78653

Other Names 1

Doing Business AsManor Family Practice

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist
14001 SHADOW GLEN BLVD
MANOR, TX 78653
Family Medicine
14001 SHADOW GLEN BLVD, SUITE G
MANOR, TX 78653
Dentist (General Practice)
14001 SHADOW GLEN BLVD
MANOR, TX 78653

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Manor Family Practice, PLLC's NPI number?

The NPI number for Manor Family Practice, PLLC is 1154761559. It was assigned to this organization in the NPPES registry on June 28, 2013. The provider is doing business as Manor Family Practice.

Where is Manor Family Practice, PLLC located?

Manor Family Practice, PLLC is located at 14001 Shadow Glen Blvd Suite G, Manor, TX 78653. The listed phone number is (512) 535-4787.

What is Manor Family Practice, PLLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

When was this NPI record last updated?

The NPPES record for Manor Family Practice, PLLC was last updated on June 28, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.